flunitrazepam

Brand Name :

Disomnilan, Flunepan, Flunita, Flunitrazepam CF

Synonyms :

flunitrazepam

Class :

Benzodiazepine derivative, Hypnotic agent

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No data available for drug.

Actions and spectrum: 

flunitrazepam is a benzodiazepine medication with sedative, hypnotic, anxiolytic, muscle relaxant, and anticonvulsant properties. It acts on the central nervous system by enhancing the inhibitory effects of GABA, a neurotransmitter that reduces brain activity and induces relaxation. As a result of these actions, flunitrazepam produces calming and sleep-inducing effects. 

The spectrum of flunitrazepam’s effects includes: 

  • Sedation: Flunitrazepam causes sedation and drowsiness, making it useful for the treatment of insomnia or sleep disturbances. 
  • Hypnotic: Due to its potent sedative properties, flunitrazepam is often used as a short-term hypnotic to induce and maintain sleep. 
  • Anxiolytic: flunitrazepam reduces anxiety and promotes a sense of calmness in individuals with anxiety disorders. 
  • Muscle Relaxant: It possesses muscle relaxant effects, which can help alleviate muscle tension or spasms. 
  • Anticonvulsant: flunitrazepam can be effective in managing certain seizure disorders by reducing the frequency and intensity of epileptic seizures. 

DRUG INTERACTION

flunitrazepam

&

  • Pembrolizumab / Berahyaluronidase
  • Bumetanide Intranasal
  • Gemcitabine intravesical
  • Rilzabrutinib
  • Zopapogene
  • Aceclidine
  • aluminium hydroxide
  • benzralizumab (Rx)
  • Rituximab
  • Trimetrexate Glucuronate
  • Mirdametinib
  • Suzetrigine
  • Potassium acid phosphate
  • Acellular Tissue Engineered Vessel
  • crinecerfont (pending approval from FDA)
  • Revumenib
  • pembrolizumab (Rx)
  • azathioprine (Rx)
  • Gemcitabine (Rx)
  • Seladelpar
  • Atezolizumab / Hyaluronidase-tqjs
  • Axatilimab-csfr
  • Afamitresgene Autoleucel
  • Lazertinib
  • Ocrelizumab / Hyaluronidase ocsq
  • Lebrikizumab
  • naloxone intranasal
  • clomiphene
  • patisiran
  • imetelstat
  • phenylephrine ophthalmic
  • myoinositol
  • vasicinone
  • soda lime
  • fisetin
  • Reynoutria Japonica
  • Coco Monoethanolamide
  • Betadex
  • lithopone
  • cyperus rotundus
  • papaya juice
  • 1-naphthaleneacetic acid
  • Nordazepam
  • Glechoma hederacea
  • Alternanthera sessilis
  • nicofetamide
  • napthol asol
  • cocamidopropyl betaine
  • musa x paradisiaca
  • dicyclomine/mefenamic acid
  • Sorghum
  • Manganese citrate
  • tovorafenib
  • mefenamic acid/paracetamol
  • eschscholzia californica
  • canna indica root
  • tranexamic acid/mefenamic acid
  • dexverapamil
  • sitogluside
  • secalciferol
  • cefatrizine
  • Sedum Acre
  • Flurogestone
  • Fluocortin
  • Bifendate
  • piprozolin
  • aminacrine undecylate
  • ethylenediamine mandelate
  • pelubiprofen
  • hesperetin
  • butethamine
  • epitiostanol
  • androstenediol
  • Nitroxoline
  • Iocarmic acid
  • Capobenic acid
  • dordaviprone (investigational drug)
  • Vitexin
  • Friluglanstat (investigational drug)
  • scorias spongiosa
  • Luseogliflozin
  • indoxacarb
  • prademagene zamikeracel
  • fidanacogene elaparvovec-dzkt
  • albifylline
  • idanpramine
  • araneus diadematus
  • Sulfamazone
  • Lycosa tarantula
  • malotilate
  • Ethacizine
  • Namilumab
  • Latrunculin B
  • stachyose
  • platinic oxide
  • iopronic acid
  • calcium chloride / potassium chloride/lactic acid/ sodium chloride/sodium hydroxide/sodium lactate solution
  • citric acid/ sodium bicarbonate/ sodium carbonate anhydrous
  • vadadustat
  • permethrin medical grade cis/trans isomers 25/75
  • lutetium, isotope of mass 177
  • human normal immunoglobulin
  • sacrosidase
  • apadamtase alfa, recombinant
  • acetyl hexapeptide-8 amide
  • pemivibart (Investigational)
  • govorestat
  • Zanidatamab
  • sotatеrcеpt
  • MV 140 vaccine
  • leuprorelin implant
  • cinchocaine hydrochloride/fluocortolone hexanoate/fluocortolone pivalate
  • Beautyberry
  • risedronate/calcium/vitamin D3
  • rhubarb extract/senna leaf/sulphur purified/wood charcoal
  • boric acid/kaolin/methyl salicylate/peppermint oil/thymol
  • docosahexaenoic acid/eicospentaenoic acid
  • aluminium hydroxide/magnesium hydroxide/simethicone
  • gentamicin/hydrocortisone
  • succinylcholine
  • sinefungin
  • letibotulinumtoxinA
  • coal tar/coconut oil/salicylic acid
  • camphor/camphor oil white/capsicum oleoresin /menthol/methyl salicylate
  • thioglycolic acid
  • acetic acid auricular
  • roluperidone
  • hydrocortisone/crotamiton topical
  • nystatin/chlorhexidine
  • aluminium chloride hexahydrate
  • ketoprofen topical
  • Chlormethine
  • podophyllotoxin
  • urea/lactic acid
  • autologous chondrocytes implant
  • afelimomab
  • gepotidacin
  • fludroxycortide
  • fentanyl transdermal
  • erythromycin/zinc acetate
  • dibotermin alfa powder
  • desferrioxamine mesilate
  • choline salicylate/magnesium salicylate
  • castor oil/peru balsam/trypsin
  • betamethasone/dexchlorpheniramine maleate
  • benzalkonium chloride solution/cetrimide
  • barzolvolimab
  • ascorbic acid / calcium laevulinate / nicotinamide / calcium pantothenate / calcium chloride / riboflavine / pyridoxine hydrochloride / thiamine hydrochloride
  • argipressin
  • arachis oil refined/chlorobutanol hemihydrate
  • arachis oil/eucalyptol/nutmeg oil/terpineol
  • ammonium chloride/diphenhydramine hydrochloride/levomenthol
  • amino acid mixture d / calcium chloride dihydrate / glucose monohydrate / glycine / magnesium chloride hexahydrate / olive oil / potassium chloride / sodium acetate trihydrate / sodium glycerophosphate pentahydrate / soya-bean oil
  • biotin/colecalciferol/copper (ii)sulfate dried/ cyanocobalamine/ dl-alpha tocopherol acetate/dibasic calcium phosphate anhydrous/folic acid/iron (ii)sulfate dried/ lecithin/ magnesium sulfate dried/ nicotinamide/ pyridoxine hydrochloride/ riboflavin
  • ampicillin sodium / cloxacillin sodium
  • undecylenic acid, undecylenate salts, zincundecate
  • omeprazole/sodium bicarbonate
  • efgartigimod alfa/hyaluronidase
  • xylometazoline/ipratropium
  • cefepime and enmetazobactam
  • isotonic sodium chloride
  • bee venom allergen injection
  • fentanyl intranasal
  • alglucosidase alfa
  • triprolidine/pseudoephedrine
  • pegademase bovine
  • castor oil and peru balsam
  • camphor/eucalyptus oil/menthol
  • oxyquinoline/sodium lauryl sulfate
  • somatorelin
  • menotrophin injection
  • menadiol
  • hylan g-f 20
  • cefepime and taniborbactum
  • water avens
  • camphor/menthol
  • acoramidis
  • elafibranor
  • arrowroot
  • miconazole nitrate/hydrocortisone
  • vildagliptin/metformin
  • dobesilic acid
  • aroxybutynin and atomoxetine
  • hygromycin
  • linvoseltamab
  • nemolizumab
  • aceprometazine
  • limaprost
  • oxazolam
  • trimegestone
  • teceleukin
  • beauty berry
  • dinotefuran
  • imiprothrin
  • transfluthrin
  • thymalfasin
  • technetium Tc 99m tilmanocept
  • glepaglutide
  • marstacimab
  • pixantrone
  • Andiroba
  • arabinoxylan
  • arenaria rubra
  • etripamil
  • jequirity
  • jiaogulan
  • dusquetide
  • rolipram
  • tradipitant
  • sinfungin
  • diclofenac/omeprazole
  • brinzolamide and timolol maleate
  • wormseed
  • wormwood
  • wood sorrel
  • carmellose sodium
  • ibandronic acid
  • cinnarizine and dimenhydrinate
  • ursodeoxycholic acid
  • rhubarb extract/salicylic acid
  • butamirate citrate
  • fumitory
  • taheebo
  • uva ursi
  • vervain
  • coleus
  • coltsfoot
  • crampbark
  • plantain
  • potassium nitrate and silver nitrate
  • gelsemium
  • gentian
  • glucomannan
  • walnut
  • meadowsweet
  • midomafetamine
  • pennyroyal
  • periwinkle
  • betony
  • bitter orange
  • bladderwrack
  • bloodroot
  • emu oil
  • garcinia
  • yellow dock
  • burdock
  • dehydroepiandrosterone
  • aucubin
  • jasmone
  • resacetophenone
  • ecamsule ditriethanolamine
  • feclobuzone
  • fenoprop triethanolamine
  • verdyl acetate
  • caffeic acid
  • cyclamen aldehyde
  • dicetyldimonium chloride
  • wogonin
  • impacarzine
  • laurylpyridinium chloride
  • stepronin
  • matrine
  • sakuranin
  • cannabichromene
  • sandalore
  • sabinene
  • oxypaeoniflora
  • ethylhexyl pelargonate
  • acrylonitrile
  • allyl alcohol
  • dipalmitoylethyl hydroxyethylmonium methosulfate
  • butidrine
  • clothiapine
  • propanediol dicaprylate
  • buchu
  • undecanol
  • enilconazole
  • xymenynic acid
  • angelica
  • nizubaglustat
  • resomelagon
  • ulecaciclib
  • apple cider vinegar
  • bacopa
  • barley grass
  • dandelion
  • deer velvet
  • dolomite
  • bugleweed
  • bupleurum
  • glyceryltrinitrate
  • pociredir
  • asnuciclib
  • actalycabtagene autoleucel
  • butantan–dengue vaccine
  • travoprost/timolol
  • furosemide/potassium chloride
  • amylamine
  • jaborandi
  • patritumab deruxtecan
  • jackfruit
  • sterculia
  • ascorbigen
  • ashitaba
  • androstenetrione
  • andrachne
  • cosibelimab
  • racecadotril
  • neomycin/chlorhexidine
  • octocog alfa
  • cetrimide
  • ispaghula husk
  • polyhexanide
  • octenidine
  • polygeline
  • heparinoid
  • jewelweed
  • boldo
  • anizatrectinib
  • alpinia
  • henbane
  • cynanchum vincetoxicum root and sulfur
  • boditrectinib
  • izumerogant
  • zavondemstat
  • abuta
  • fadogia agrestis
  • fly agaric mushroom
  • meptazinol
  • methoxyflurane
  • tramadol/dexketoprofen
  • betaine/polyhexanide
  • filgotinib
  • inosine acedoben dimepranol
  • alverine citrate
  • hyoscine butylbromide
  • senna+ ispaghula
  • cabbage palm
  • cajeput oil
  • calanus oil
  • calamint
  • canada balsam
  • carnosine
  • alverine citrate/simeticone
  • dihydroartemisinin/piperaquine
  • mebeverine/ispaghula
  • calcipotriol
  • tacalcitol
  • triethyl citrate/ethyl linoleate
  • sodium dilauramidoglutamide lysine
  • fazamorexant
  • avibactam tomilopil and ceftibuten
  • drostanolone
  • tigilanol tiglate
  • isorhynchophylline
  • rhynchophylline
  • crisugabalin
  • epigallocatechin gallate
  • clomocycline
  • corynoxeine
  • isocorynoxeine
  • Culmerciclib
  • Neladenoson
  • ambrein
  • hexylcaine
  • phensuximide
  • resencatinib (investigational)
  • rolusafine
  • pumecitinib
  • arhalofenic acid
  • berdazimer sodium
  • benzquinamide
  • clidinium
  • sulfametopyrazine
  • fulzerasib (Investigational Drug)
  • rovadicitinib (Investigational Drug)
  • Upleganan (Investigational Drug)
  • menthyl ethylamido oxalate
  • quaternium-90 montmorillonite
  • unecritinib (investigational drug)
  • etohexadiol
  • guaiol
  • proximadiol
  • verdinexor
  • sofnobrutinib
  • talbutal
  • ethoxzolamide
  • propiomazine
  • enprofylline
  • phenmetrazine
  • merigolix
  • pralurbactam
  • neracorvir
  • vonifimod
  • apaziquone hydroquinone
  • darizmetinib
  • zandelisib
  • xininurad
  • ritivixibat
  • amiselimod phosphate (investigational drug)
  • emzeltrectinib (investigational drug)
  • ficonalkib
  • cinalukast
  • ulobetasol
  • candoxatril
  • nitrofural
  • acetyldigitoxin
  • bentiromide
  • dextrothyroxine
  • chlorotrianisene
  • remikiren
  • pipobroman
  • vidarabine
  • immune globulin intravenous, human-stwk
  • spermine
  • serine
  • N-acetyl glucosamine
  • valine
  • adenine
  • asparagine
  • citrulline
  • adinazolam
  • interferon alfacon-1
  • interferon alfa-n1
  • felypressin
  • birch triterpenes
  • pyridoxal phosphate
  • technetium Tc-99m arcitumomab
  • beta-alanine
  • dihomo-gamma-linolenic acid
  • urea/hydrocortisone
  • R21/Matrix-M vaccine
  • povidone-iodine (ophthalmic)
  • pheniramine
  • hydrocortisone rectal
  • chloroxylenol/pramoxine/zinc acetate
  • chloroxylenol/pramoxine
  • dextrose/sucrose/vitamin C/zinc sulphate
  • furazolidone/metronidazole/dicyclomine
  • ergocalciferol (vitamin D2)
  • benoxaprofen (discontinued)
  • teicoplanin
  • carbomer
  • chromic chloride / iron (ii) chloride tetrahydrate / potassium iodide / manganese chloride / sodium fluoride / sodium selenite pentahydrate / sodium molybdate dihydrate / zinc chloride/ cupric chloride
  • bufylline
  • lidocaine/prilocaine
  • opium tincture, squill oxymel
  • dibrompropamidine
  • metronidazole/tetracycline/bismuth subsalicylate
  • agnus- castus
  • velaglucerase alfa
  • alendronic acid / colecalciferol
  • bimatoprost / timolol
  • efbemalenograstim alfa
  • dried ferrous sulfate/folic acid
  • dried ferrous sulfate / sodium ascorbate
  • nirogacestat
  • soya-bean oil, medium-chain triglycerides
  • demeclocycline hydrochloride and triamcinolone acetonide
  • fusidic acid / hydrocortisone acetate
  • macrogol
  • storax, benzoin
  • nomegestrol acetate/estradiol
  • flumetasone pivalate/ clioquinol
  • berdazimer topical (Pending FDA Approval)
  • buflomedil
  • butobarbital
  • andexanet alfa
  • methoxypolyethylene glycol-epoetin beta
  • viscum abietis
  • pramoxine vaginal
  • bupivacaine implant
  • cromolyn sodium, inhaled
  • pneumococcal vaccine 20-valent
  • bimatoprost ophthalmic implant
  • tick-borne encephalitis vaccine
  • chloroprocaine ophthalmic
  • travoprost intraocular implant (Pending FDA approval)
  • typhoid polysaccharide vaccine
  • sodium phosphate
  • human papillomavirus vaccine, nonavalent
  • peanut immunotherapy epicutaneous (FDA approval pending)
  • cromolyn sodium, intranasal
  • red blood cells(Blood component)
  • oral mucoadhesive
  • clindamycin vaginal
  • whole blood (Blood Component)
  • fibrinogen/thrombin
  • levothyroxine/liothyronine
  • ipratropium intranasal
  • metronidazole vaginal
  • cyamemazine
  • brinase
  • reviparin
  • ulinastatin
  • saruplase
  • acepromazine
  • emylcamate
  • methionine
  • amino acids and electrolytes in dextrose with calcium
  • slippery elm
  • camostat
  • hemoglobin crosfumaril
  • moperone
  • chlormidazole
  • brilaroxazine
  • palopegteriparatide
  • diazepam buccal
  • benegrastim (pending for FDA approval)
  • COVID-19 vaccine, adjuvanted-Novavax
  • vestronidase alfa-vjbk
  • tebipenem (Pending FDA Approval)
  • tislelizumab (Pending FDA Approval)
  • zolbetuximab (Pending FDA Approval)
  • zoliflodacin (pending FDA approval)
  • zibotentan and dapagliflozin
  • fluorine F18 DCFPyL
  • debamestrocel
  • givinostat
  • amubarvimab and romlusevimab(Pending FDA Approval)
  • sabizabulin(Pending FDA approval)
  • fexapotide(Phase 3 Clinical trial)
  • diatrizoic acid
  • drotaverine
  • diethyl phthalate
  • enclomiphene
  • epalrestat
  • ethamsylate
  • flupirtine
  • imidurea
  • sodium glycolate
  • feracrylum
  • ethacridine
  • furazolidone/metronidazole
  • ozagrel hydrochloride
  • leptazol
  • l-glutamic acid /vitamin B complex
  • etizolam
  • etizolam/propranolol
  • ethoheptazine citrate
  • etophylline and theophylline
  • etophylline
  • finger millet
  • drotaverine/mefenamic acid
  • dichloroxylenol
  • pneumococcal 7-valent vaccine
  • diclofenac and metaxalone
  • dipivefrin ophthalmic
  • enbucrilate
  • potassium citrate and citric acid
  • potassium gluconate
  • aclarubicin
  • alfuzosin/dutasteride
  • adrenochrome monosemicarbazone
  • selenium sulfide topical
  • sertaconazole
  • amorolfine cream
  • amsacrine
  • amylmetacresol
  • sulfonated phenolics in aqueous solution
  • technetium Tc-99m sulfur colloid
  • raltitrexed
  • romiplostim
  • acediasulfone
  • azulene
  • acebrophylline
  • clonazepam/escitalopram oxalate
  • allylestrenol
  • andrographolide
  • artemotil
  • technetium Tc-99m sestamibi
  • rubidium Rb-82
  • somapacitan
  • sodium sulfate, magnesium sulfate and potassium sulfate
  • almitrine
  • gramicidin
  • nikethamide
  • technetium Tc-99m sodium pertechnetate
  • betiatide
  • prilocaine/epinephrine
  • amlexanox
  • acetaminophen/salicylamide/phenyltoloxamine
  • neomycin topical
  • zilucoplan
  • antazoline and xylometazoline
  • toripalimab
  • iron isomaltoside
  • meningococcal A C Y and W polysaccharide tetanus toxoid conjugate vaccine
  • meningococcal A C Y and W-135 diphtheria conjugate vaccine
  • tetradecyl Sulfuric Acid
  • benzoyl peroxide, clindamycin phosphate, adapalene
  • ethylephedrine
  • actarit
  • pyrantel tartrate
  • tenofovir disoproxil fumarate or tenofovir DF
  • melitracen
  • amitriptylinoxide(Phase 4 Clinical Trials)
  • threonine
  • ditiocarb zinc
  • epicriptine
  • levallorphan
  • kinetin
  • laurocapram
  • pentagastrin
  • parthenolide
  • nicoboxil
  • protionamide
  • prulifloxacin
  • proscillaridin
  • tizanidine and rofecoxib
  • tolnaftate, gentamicin, chinoform and betamethasone valerate
  • pine bark extract
  • pipenzolate methylbromide
  • bephenium hydroxynaphthoate
  • niclosamide
  • pyrvinium
  • pipenzolate methylbromide/phenobarbitone
  • piracetam/ginkgo biloba/vinpocetine
  • benzyl benzoate/disulfiram
  • benzyl benzoate
  • loperamide/simethicone
  • piroctone olamine
  • sodium fusidate
  • piroxicam topical/capsaicin/menthol/methyl salicylate
  • sodium metabisulfite
  • sodium lauryl sulfate
  • taspoglutide
  • glyclopyramide
  • tolnaftate, gentamicin, iodochlorohydroxyquinoline, chlorocresol, betamethasone valerate
  • serratiopeptidase
  • sodium antimony gluconate
  • triamterene / benzthiazide
  • tribenoside / lidocaine
  • triclocarban
  • triprolidine/dextromethorphan  
  • vitamins/minerals/omega-3 Fatty acids
  • soyabean oil
  • sucralfate/oxethazaine
  • sucralfate/tinidazole/povidone iodine
  • sodium cromoglycate
  • aloe vera/liquid paraffin/white soft paraffin
  • aloe vera/jojoba oil/vitamin E
  • allantoin/triclosan/vitamin e/zinc oxide
  • alpha-Lipoic acid/minerals/multivitamins
  • alprazolam/paracetamol
  • alprazolam/melatonin
  • azithromycin/ambroxol
  • atorvastatin/clopidogrel/aspirin
  • aceclofenac, paracetamol and serratiopeptidase
  • alfacalcidol, vitamin B-complex, minerals and antioxidants
  • alpha- lipoic acid, vitamin b complex and vitamin c
  • alpha-galactosidase and simethicone
  • alpha-galactosidase, amylase, proteases, lipase and lactase
  • amikacin and cefepime
  • aminophylline, ephedrine and phenobarbitone
  • artesunate, sulphadoxine and pyrimethamine
  • finasteride/tamsulosin
  • flavoxate/ofloxacin
  • fenofibrate/metformin
  • lignocaine, hydrocortisone topical and allantoin
  • linoleic acid and sodium lactate
  • troxerutin
  • meclizine/nicotinic acid
  • mecobalamin/ginkgo Biloba
  • spirulina
  • loperamide and furazolidone
  • ketoconazole/cetrimide
  • ketoconazole/zinc pyrithione
  • lercanidipine/atenolol
  • levocetirizine/montelukast/ambroxol
  • levarterenol
  • levocetirizine/phenylpropanolamine 
  • indapamide/amlodipine
  • itopride/methyl polysiloxane
  • mebendazole/levamisole
  • eberconazole/mometasone
  • gliclazide/metformin/pioglitazone
  • fluconazole/tinidazole
  • haemocoagulase
  • halometasone
  • hesperidin
  • imipramine/chlordiazepoxide
  • idebenone / l-arginine / zinc sulphate/selenium/proanthocyanidin
  • mecobalamin and piracetam
  • mesterolone
  • mosapride and pantoprazole
  • atorvastatin, co enzyme q10, vitamin e, zinc, and selenium
  • azithromycin and benzalkonium chloride
  • beta carotene, vitamin c, vitamin e, minerals, lutein, eicosapentaenoic acid, docosahexenoic acid and vit b12
  • alpha-galactosidase
  • aloe vera gel/vitamin e/lactic acid
  • aloe vera gel/jojoba/vitamin e/glycerine
  • famotidine and domperidone
  • faropenem medoxomil
  • nedosiran
  • fluconazole/ornidazole/azithromycin
  • ebastine/montelukast
  • eberconazole
  • dienogest/estradiol valerate
  • ambroxol/salbutamol
  • benzoic acid/salicylic acid/ichthammol/ triamcinolone acetonide
  • desloratadine/ambroxol
  • dexibuprofen/paracetamol
  • atorvastatin/ramipril
  • diastase
  • diastase and simethicone
  • diazepam and propranolol
  • dexrabeprazole / domperidone
  • dexrabeprazole
  • dexketoprofen /paracetamol
  • beta carotene/vitamin C/minerals
  • aloe vera gel/urea
  • aloe vera gel/glycerine
  • alpha-lipoic acid/benfotiamine/chromium/folic acid/mecobalamin / vit b6
  • alprazolam/propranolol
  • alprazolam /sertraline
  • ibuprofen/dextropropoxyphene
  • ambroxol/cetirizine/phenylephrine/ guaiphenesin/menthol
  • dextropropoxyphene/dexchlorpheniramine maleate/bromhexine
  • promegestone
  • batroxobin
  • bencyclane
  • benfluorex
  • acetylpheneturide
  • abarelix
  • abetimus
  • naftidrofuryl
  • nalorphine
  • oxiracetam
  • letosteine
  • lafutidine
  • leuprorelin
  • levodropropizine
  • glutaral
  • losartan/ramipril
  • gallopamil
  • lanatoside c
  • lauromacrogol
  • gestodene
  • aceclofenac/methyl salicylate/menthol/linseed oil/capsaicin
  • aceclofenac/paracetamol/tizanidine
  • alginic acid/magaldrate/simethicone
  • aceclofenac/paracetamol
  • aceclofenac/rabeprazole
  • alginic acid
  • pantoprazole and domperidone
  • urokinase
  • rimiterol
  • olanzapine/fluoxetine
  • normethadone/hydroxyephedrine
  • myrtol
  • moxonidine
  • propylhexedrine
  • sodium hypochlorite solution
  • sodium chloride/sodium citrate
  • Hepatitis B Vaccine (Recombinant [Adjuvanted])
  • Hepatitis B Vaccine (Recombinant)
  • aceclofenac and serratiopeptidase
  • levosulpiride
  • niaprazine
  • tromantadine
  • trimetazidine
  • vinburnine
  • mizoribine
  • molgramostim
  • mosapride
  • eugenol
  • tolperisone
  • etamsylate
  • etynodiol
  • mizolastine
  • metenolone
  • reproterol
  • rebamipide
  • mephenoxalone
  • metandienone
  • furosemide/spironolactone
  • hydroxycarbamide
  • tenonitrozole
  • fenoverine
  • fenquizone
  • tiapride
  • tibolone
  • furazolidone
  • furosemide & amiloride
  • fosfestrol
  • fluclorolone
  • flubendazole
  • tertatolol
  • tetracosactide
  • tetryzoline
  • tolciclate
  • trapidil
  • troxipide
  • temoporfin
  • telbivudine
  • teprenone
  • hexamidine
  • mebhydrolin
  • mepartricin
  • fencamfamin
  • medazepam
  • theodrenaline
  • thiamazole
  • thiocolchicoside
  • psilocybin
  • veralipride
  • pyritinol
  • opipramol
  • oprelvekin
  • betamethasone + gentamicin
  • betamethasone + neomycin
  • betamethasone + salicylic acid
  • oxedrine
  • bopindolol
  • orgotein (investigational)
  • oxaceprol
  • ormeloxifene
  • bevantolol
  • bifemelane
  • clebopride
  • demoxytocin
  • cicletanine
  • cefsulodin
  • chlortalidon
  • sisomicin
  • somatrem
  • carbazochrome
  • caroverine
  • cathine
  • ipriflavone
  • isepamicin
  • silymarin
  • simethicone
  • sermorelin
  • diloxanide
  • dimethindene
  • diosmin/hesperidin
  • calamine
  • canrenone
  • captodiame
  • imidapril
  • cefetamet
  • cefodizime
  • cefoperazone + sulbactam
  • ivermectin + albendazole
  • serrapeptase
  • bromisoval
  • beraprost
  • pridinol
  • proglumide
  • bamipine
  • barnidipine
  • bamifylline
  • benzbromarone
  • betamethasone/fusidic acid
  • para-chlorophenol
  • pantethine
  • nomifensine
  • pemoline
  • parnaparin
  • pentolinium
  • nialamide
  • novobiocin
  • nicergoline
  • octocrylene
  • octisalate
  • oftasceine
  • oxolamine
  • oxyphencyclimine
  • penfluridol
  • pentoxyverine
  • phenoxymethylpenicillin
  • picloxydine
  • pilsicainide hydrochloride
  • piperazine
  • pirarubicin
  • policresulen
  • prifinium bromide
  • prethcamide
  • pristinamycin
  • pirenzepine
  • piribedil
  • pimethixene
  • pargyline
  • phosphatidyl choline
  • phthalylsulfathiazole
  • phytomenadione
  • pranlukast
  • pinazepam
  • oxyphenonium
  • noxytiolin
  • periciazine
  • pethidine
  • phenindamine
  • histidine
  • isoleucine
  • proline
  • lauric acid
  • lymecycline
  • hypromellose
  • abiraterone acetate and niraparib
  • ichthammol
  • levamisole
  • naftazone
  • nefopam
  • oxprenolol
  • oxybuprocaine
  • elranatamab-bcmm
  • lapyrium
  • isoaminile
  • iotrolan
  • mazindol
  • masoprocol
  • lypressin
  • meradimate
  • molsidomine
  • monobenzone
  • mequinol/gluconolactone/ lactobionic acid/ arbutin
  • medifoxamine
  • mebutamate
  • metergoline
  • methantheline
  • methdilazine
  • metocurine
  • micronomicin
  • metaraminol
  • mephenesin
  • menadione
  • medrysone
  • metixene
  • levobetaxolol
  • guaiacol glycerol ether
  • eucalyptol
  • sodium tetradecyl sulfate
  • sugammadex
  • carbetocin
  • certoparin
  • chlorcyclizine/pseudoephedrine
  • cephapirin
  • indecainide
  • iobitridol
  • iomeprol
  • chlorphenesin
  • msud analog
  • msud maxamum
  • iceland moss
  • glutethimide
  • hexachlorophene
  • haloprogin
  • deferoxamine
  • ethchlorvynol
  • dexpanthenol topical
  • etilefrine
  • deslanoside
  • carbocromen
  • diazolidinylurea
  • dibenzepin
  • etofamide
  • guanoxan
  • halazepam
  • guanadrel sulfate
  • dapiprazole
  • soapwort
  • debrisoquine
  • l-tryptophan
  • chlormerodrin
  • chlorquinaldol
  • cetrimonium
  • carbocisteine
  • chlorcyclizine/codeine
  • technetium Tc-99m tetrofosmin
  • technetium Tc-99m disofenin
  • technetium Tc-99m gluceptate
  • technetium Tc-99m labeled red blood cells
  • amylmetacresol/dextromethorphan hydrobromide
  • anileridine phosphate
  • pyrethrins
  • pyrantel pamoate
  • quinagolide
  • spiramycin
  • standard hyperkalemic cardioplegia solution
  • technetium tc-99m mertiatide
  • technetium tc-99m medronate
  • bemotrizinol / bisoctrizole
  • benfotiamine
  • bemotrizinol + titanium dioxide + zinc oxide
  • technetium Tc-99m oxidronate
  • technetium Tc-99m pentetate
  • technetium Tc-99m pyrophosphate
  • benziodarone
  • octinoxate/bisoctrizole
  • bicisate dihydrochloride
  • technetium Tc-99m bicisate
  • norelgestromin/ethinyl estradiol
  • norgestimate/ethinyl estradiol
  • ximelagatran (investigational)
  • xamoterol
  • trioxsalen
  • poly-urea urethane
  • rilmenidine
  • pemirolast
  • oxitriptan
  • beclomethasone, intranasal
  • thimerosal
  • camphor gel
  • camphor
  • mumps virus vaccine, live
  • rubella virus vaccine, live
  • aluminum chloride (dental)
  • alum irrigation
  • framycetin, phenylephrine, and gramicidin
  • ombitasvir, paritaprevir, ritonavir, and dasabuvir
  • olipudase alfa
  • etonogestrel/ethinyl estradiol
  • mycophenolate
  • fluoroestradiol F 18
  • donor organ cardioplegia solution
  • fluciclovine F 18
  • fusidic acid (ophthalmic)
  • fusidic acid and hydrocortisone
  • framycetin, dexamethasone, and gramicidin
  • fludeoxyglucose F-18
  • fluorouracil/salicylic acid
  • indium In-111 oxyquinoline
  • indium In-111 pentetreotide
  • indium In-111 capromab pendetide
  • lusutrombopag
  • mitomycin (ophthalmic)
  • mifepristone and misoprostol
  • minoxidil (systemic)
  • methyl aminolevulinate (topical)
  • methyl folate, methylcobalamin, and acetylcysteine
  • ciclesonide/formoterol/tiotropium
  • nedocromil (Oral Inhalation)
  • batefenterol (Investigational)
  • neostigmine and glycopyrrolate
  • nepafenac ophthalmic
  • netupitant/palonosetron
  • meperidine and promethazine
  • mepivacaine and levonordefrin
  • maltodextrin
  • medical cannabis
  • medium chain triglycerides
  • mometasone/glycopyrrolate (glycopyrronium)/ indacaterol
  • moxifloxacin ophthalmic
  • neomycin/fluocinolone
  • nadroparin
  • iodine I-125 iothalamate
  • amikacin liposome (oral inhalation)
  • bupivacaine liposome
  • natamycin
  • lopinavir and ritonavir
  • lysine
  • macitentan and tadalafil
  • mitomycin pyelocalyceal
  • moclobemide
  • mometasone and indacaterol
  • efinaconazole
  • blue-green algae
  • indocyanine green
  • follitropin beta
  • lumasiran
  • glycerin/lidocaine
  • edrophonium/atropine
  • indigo carmine
  • lutropin alfa
  • instant glucose/intravenous dextrose
  • iobenguane I-123
  • ixekizumab
  • isosulfan blue dye
  • levofloxacin ophthalmic
  • levonorgestrel oral/ferrous bisglycinate/ ethinylestradiol
  • ethinyl estradiol/levonorgestrel transdermal
  • hydroquinone
  • hydroxypropyl methylcellulose
  • icodextrin
  • lipid emulsion (soybean, medium-chain triglyceride, olive, and fish oils; [SMOF])
  • iodinated I 125 albumin
  • iodinated I 131 albumin
  • lipid emulsion (plant oil-based)
  • levonorgestrel intrauterine
  • levonorgestrel/ethinyl estradiol
  • lactic acid and sodium-PCA
  • lactated Ringer solution
  • ketotifen (systemic)
  • lanolin
  • leuprolide and norethindrone
  • levodopa and benserazide
  • gonadorelin acetate
  • hemodialysis solutions
  • nirsevimab
  • gentian violet
  • gallium ga-68 dotatate
  • fusidic acid and betamethasone
  • gallium citrate Ga-67
  • gadopentetate dimeglumine
  • gadofosveset
  • follitropin delta
  • follitropin alfa and lutropin alfa
  • follitropin alfa
  • rocatinlimab
  • grass pollens allergen extract
  • flotufolastat F18
  • fluorescein ophthalmic
  • barium
  • balanced salt solution
  • air polymer type A intrauterine device
  • clodronate
  • bentoquatam
  • clobetasone
  • alfacalcidol
  • citric acid/glucono-delta-lactone/magnesium carbonate
  • benzoin
  • desirudin
  • immune globulin IV (IGIV)
  • dequalinium
  • pseudoephedrine/desloratadine
  • clofedanol
  • cyproterone and ethinyl estradiol
  • dextranomer and hyaluronic acid or derivatives
  • diatrizoate meglumine and diatrizoate sodium
  • glucosamine sulfate, chondroitin sulfate and Msm
  • squill
  • gotu kola
  • blessed thistle
  • bitter melon
  • apraclonidine
  • chlophedianol/dexbrompheniramine/pseudoephedrine
  • wild jujube
  • chitosan
  • cilazapril/hydrochlorothiazide
  • dexbrompheniramine and phenylephrine
  • diethylene triamine penta-acetic acid
  • dexchlorpheniramine and pseudoephedrine
  • lily of the valley
  • diflucortolone
  • corydalis
  • lemon balm
  • MSM
  • calcium polystyrene sulfonate
  • caprylidene
  • peppermint oil
  • efavirenz/lamivudine/tenofovir DF
  • emtricitabine/tenofovir DF /efavirenz
  • dutasteride/tamsulosin
  • milk thistle
  • centaury
  • horseweed
  • lycopus
  • agrimony
  • alfalfa
  • kava
  • cetrorelix
  • cetylpyridinium
  • chlophedianol and dexbrompheniramine
  • betahistine
  • choline C-11
  • boric acid vaginal suppository
  • aluminum acetate
  • aluminum chloride hexahydrate
  • 14-C urea breath test
  • absorbable collagen
  • valoctocogene roxaparvovec-rvox
  • amlodipine and celecoxib
  • aspirin and omeprazole
  • azilsartan and chlorthalidone
  • landiolol (Pending FDA approval)
  • isosorbide dinitrate/hydralazine
  • losartan/hydrochorothiazide
  • udenafil
  • dextromethorphan/quinidine
  • onasemnogene abeparvovec
  • orphenadrine/aspirin/caffeine
  • Trace elements
  • sodium phenylbutyrate/ taurursodiol
  • fish oil triglycerides
  • infant formula
  • glutamine
  • chloroquine phosphate
  • afatinib
  • quinidine gluconate
  • methylergonovine
  • prothrombin complex concentrate, human
  • BCG intravesical live
  • capivasertib
  • cedazuridine
  • carbonyl iron
  • iron dextran complex
  • lovotibeglogene autotemcel (FDA Approval Pending)
  • sodium benzoate/sodium phenylacetate
  • mineral oil otic
  • zolmitriptan transdermal
  • midazolam intranasal
  • fosinopril/hydrochlorothiazide
  • caplacizumab
  • arginine
  • sodium phenylbutyrate
  • meloxicam/rizatriptan
  • manganese
  • acetaminophen/pamabrom/pyridoxine
  • varicella zoster immune globulin, human
  • amitriptyline/perphenazine
  • narsoplimab (Pending FDA Approval)
  • amlodipine/perindopril
  • imiglucerase
  • canagliflozin/metformin
  • tafamidis meglumine
  • somatrogon-ghla
  • glimepiride/rosiglitazone
  • becaplermin
  • lithium
  • loxapine inhaled
  • nicotine transdermal
  • tixagevimab and cilgavimab (Investigational)
  • muromonab CD3
  • ansuvimab
  • coal tar bath products
  • fibrin sealant
  • arimoclomol (FDA Approval Pending)
  • varenicline intranasal
  • aducanumab
  • oxycodone/naloxone
  • ritlecitinib
  • sodium polystyrene sulfonate
  • calcipotriene/betamethasone
  • calcium hydroxylapatite
  • cantharidin topical
  • doxepin cream
  • clocortolone
  • formaldehyde topical
  • sodium sulfide topical
  • collagenase
  • selegiline transdermal
  • foscarbidopa/foslevodopa (FDA approval pending)
  • saxagliptin/metformin
  • linagliptin/metformin
  • linzagolix (FDA approval pending)
  • efgartigimod/hyaluronidase SC
  • Elamipretide
  • rozanolixizumab
  • diazoxide
  • glimepiride/pioglitazone
  • cipaglucosidase alfa
  • dihydroergotamine intranasal
  • delandistrogene moxeparvovec
  • beremagene geperpavec
  • hyaluronic acid and derivatives
  • hyaluronic acid, non-animal stabilized
  • eplontersen (FDA Approval Pending)
  • nitric oxide gas
  • sodium phenylbutyrate and taurursodiol
  • treprostinil SC
  • viltolarsen
  • albuterol/ipratropium
  • budesonide inhaled
  • budesonide rectal
  • palovarotene
  • sodium sulfate/potassium chloride/magnesium sulfate/polyethylene glycol
  • amino acids mixture
  • aminobenzoate potassium
  • elivaldogene autotemcel
  • naproxen and sumatriptan
  • sumatriptan intranasal
  • alglucerase
  • metformin/rosiglitazone
  • ertugliflozin/metformin
  • elosulfase alfa
  • calcium carbonate/magnesium hydroxide
  • starch suppository
  • abicipar pegol (FDA Approval Pending)
  • riboflavin 5′-phosphate ophthalmic
  • povidone ophthalmic
  • glycerin oropharyngeal
  • dimethicone topical
  • menthol topical, dimethicone topical
  • pramoxine topical, menthol topical and dimethicone topical
  • phosphorated carbohydrate
  • brilliant blue G ophthalmic
  • brolucizumab intravitreal
  • purified water, ophthalmic
  • hydroxyethyl cellulose ophthalmic
  • ranibizumab intravitreal implant
  • sodium chloride hypertonic, ophthalmic 
  • cetirizine ophthalmic
  • phentolamine ophthalmic
  • ganciclovir ophthalmic
  • triamcinolone intravitreal
  • ocriplasmin intravitreal
  • atoltivimab/maftivimab/odesivimab
  • pegcetacoplan intravitreal
  • triamcinolone acetonide extended-release injectable suspension
  • tobramycin/loteprednol ophthalmic
  • 2-octyl cyanoacrylate
  • vitamins A & D topical
  • diphenhydramine/allantoin topical
  • pyrethrins/piperonyl butoxide
  • lodoxamide ophthalmic
  • obeticholic acid
  • fluocinolone intravitreal implant
  • sincalide
  • linaclotide
  • nedocromil ophthalmic
  • cysteamine ophthalmic
  • avacincaptad pegol intravitreal
  • azelastine ophthalmic
  • bacitracin ophthalmic
  • propylene glycol ophthalmic
  • rimexolone ophthalmic
  • metoclopramide intranasal
  • mirikizumab
  • netarsudil ophthalmic
  • cenegermin
  • dexamethasone ophthalmic insert
  • prednisolone ophthalmic
  • phenylephrine and cocoa butter rectal
  • phenylephrine and witch hazel topical
  • phenylephrine, pramoxine, glycerin and petrolatum rectal
  • bisacodyl rectal
  • aluminum hydroxide/magnesium carbonate
  • aluminum hydroxide/magnesium hydroxide
  • hyoscyamine spray
  • methenamine/methylene blue/ hyoscyamine/ sodium phosphate monobasic/ phenyl salicylate
  • phenylephrine
  • chlorophyll
  • castor oil
  • cholic acid
  • phenol oropharyngeal
  • articaine/epinephrine
  • antithymocyte globulin equine
  • aluminum hydroxide/magnesium trisilicate
  • methenamine/hyoscyamine
  • hydrocortisone topical/pramoxine topical 
  • sodium fluoride topical
  • mesna
  • C1 esterase inhibitor recombinant
  • menthol and pectin
  • menthol oropharyngeal
  • pectin oropharyngeal
  • gepirone
  • Goldenseal
  • polyethylene glycol and electrolytes
  • polyethylene glycol/electrolytes/sodium ascorbate/ascorbic acid
  • brompheniramine/pseudoephedrine/dextromethorphan
  • brompheniramine phenylephrine
  • acetaminophen/doxylamine/phenylephrine
  • doxylamine/acetaminophen/pseudoephedrine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan/phenylephrine
  • eslicarbazepine
  • fluticasone and salmeterol
  • codeine, acetaminophen, butalbital and caffeine
  • codeine, chlorpheniramine and phenylephrine
  • iodine
  • povidone iodine
  • butalbital/aspirin/caffeine/codeine
  • polyethylene glycol 400/propylene glycol ophthalmic 
  • pegvaliase
  • amivantamab
  • iopamidol
  • codeine and pseudoephedrine
  • emtricitabine, rilpivirine, tenofovir DF
  • penicillin G aqueous
  • miconazole topical
  • miconazole vaginal
  • ciprofloxacin inhaled (Pending FDA approval)
  • ceftazidime/avibactam
  • ceftolozane/​tazobactam
  • aztreonam inhalation
  • amphotericin B cholesteryl sulfate
  • miconazole oral
  • elvitegravir/cobicistat/emtricitabine/tenofovir DF
  • isavuconazonium sulfate
  • dapivirine intravaginal (FDA Approval Pending)
  • lamivudine/raltegravir
  • codeine/triprolidine/pseudoephedrine
  • cadexomer iodine
  • brompheniramine/pseudoephedrine
  • codeine/acetaminophen
  • codeine/guaifenesin
  • beclomethasone inhaled
  • epoetin beta/methoxy polyethylene glycol
  • voreloxin(Orphan Drug)
  • rociletinib
  • pitcher plant
  • phosphatidylserine
  • telotristat ethyl
  • copper CU 64 dotatate
  • urea topical
  • exenatide subdermal implant
  • asenapine transdermal
  • ethiodized oil
  • urea oral
  • miglustat
  • acalisib(Investigational)
  • acetophenazine
  • guggul
  • aceneuramic acid
  • mestranol/norethindrone
  • reishi
  • lactitol
  • vonoprazan fumarate
  • motherwort
  • silver nitrate
  • salicylic acid/sulfur shampoo
  • salicylic acid topical
  • ketorolac ophthalmic
  • ketoconazole topical
  • Japanese encephalitis virus vaccine
  • dibucaine topical ointment
  • ketorolac intranasal
  • ketorolac/phenylephrine ophthalmic
  • rotavirus oral vaccine, live
  • guarana
  • hops
  • krill oil
  • salicylic acid/coal tar shampoo
  • sufentanil SL
  • pancrelipase
  • passion flower
  • pepdite one plus
  • nivolumab and relatlimab
  • relatlimab (Pending FDA Approval)
  • benzalkonium chloride/benzocaine
  • ketotifen, drug-eluting contact lens
  • calcitriol topical
  • oxymetazoline topical
  • alclometasone topical
  • capsaicin topical
  • diclofenac/misoprostol
  • diclofenac ophthalmic
  • diclofenac topical
  • pramoxine/calamine topical
  • veverimer
  • tolazoline
  • olopatadine ophthalmic
  • lutetium lu 177-dota-tate
  • lutetium lu 177 vipivotide tetraxetan
  • strontium 89 chloride
  • interferon alfa n3
  • lutetium Lu 177- Diethylenetriamine Pentaacetic acid-omburtamab (FDA Approval Pending)
  • samarium sm 153 lexidronam
  • cytomegalovirus immune globulin (CMV IG)
  • antithymocyte globulin rabbit
  • inolimomab (Pending FDA Approval)
  • olopatadine intranasal
  • olopatadine intranasal/​mometasone, intranasal
  • benzocaine/butamben/tetracaine topical
  • antipyrine/benzocaine/phenylephrine
  • dyclonine/menthol
  • surufatinib
  • fruquintinib
  • dostarlimab
  • hepatitis B immune globulin (HBIG)
  • remestemcel-L
  • benzocaine/menthol oropharyngeal
  • interferon beta 1b
  • tetracaine/oxymetazoline intranasal
  • benzocaine oropharyngeal
  • benzalkonium chloride/menthol/petrolatum topical
  • inamrinone
  • alpha 1 proteinase inhibitor
  • potassium bicarbonate/potassium citrate
  • potassium phosphate/sodium acid phosphate
  • asparaginase Erwinia chrysanthemi recombinant
  • motixafortide
  • pegloticase
  • etesevimab
  • Rho(D) immune globulin
  • tetanus immune globulin (TIG)
  • reltecimod (pending FDA approval)
  • avasopasem
  • trimethoprim/polymyxin B ophthalmic
  • naphazoline ophthalmic
  • sulfacetamide topical
  • sirolimus intravitreal (pending FDA approval)
  • sirolimus protein bound
  • sirolimus topical
  • glycopyrronium tosylate topical
  • sofpironium
  • olmesartan, amlodipine and hydrochlorothiazide
  • dovitinib (Pending FDA Approval)
  • epinephrine inhaled
  • quizartinib (Pending FDA Approval)
  • ranibizumab intravitreal injection
  • sodium hyaluronate
  • bacitracin and lidocaine topical
  • brimonidine topical
  • benzoyl peroxide and tretinoin topical
  • talquetamab
  • betrixaban
  • acetaminophen/caffeine/pyrilamine
  • fentanyl transmucosal
  • bacitracin topical
  • buprenorphine,long-acting injection
  • buprenorphine buccal
  • nalmefene intranasal
  • sulbactam/durlobactam
  • metronidazole topical 
  • daratumumab/hyaluronidase
  • glofitamab
  • rituximab-hyaluronidase
  • drospirenone/ethinyl estradiol/levomefolate
  • loncastuximab tesirine
  • ingenol mebutate topical
  • momelotinib
  • trastuzumab/deruxtecan
  • trastuzumab/hyaluronidase
  • trastuzumab duocarmazine
  • lifileucel
  • umbralisib
  • eflornithine/sulindac
  • cytarabine/daunorubicin liposomal
  • doxorubicin liposomal
  • epcoritamab
  • lanadelumab  
  • esomeprazole/naproxen 
  • terbinafine topical
  • ravulizumab
  • clotrimazole topical
  • choline magnesium trisalicylate
  • tacrolimus ointment
  • mechlorethamine topical
  • donislecel
  • pozelimab (Pending FDA Approval)
  • human rabies immune globulin (HRIG)
  • melphalan flufenamide
  • sintilimab (Pending FDA Approval)
  • oportuzumab monatox (Pending FDA Approval)
  • sotorasib
  • irinotecan liposomal
  • sulfur topical
  • silver sulfadiazine
  • capsaicin transdermal
  • sutimlimab
  • tretinoin topical
  • acetaminophen rectal
  • menthol topical
  • naftifine
  • oatmeal, colloidal topical
  • oxiconazole
  • methylsalicylate/menthol topical
  • C1 inhibitor human
  • lifitegrast ophthalmic
  • prednisolone/sulfacetamide ophthalmic
  • mannitol inhalation
  • ofloxacin otic
  • petrolatum & mineral oil topical
  • clascoterone topical
  • gefapixant (Pending FDA Approval)
  • colesevelam
  • technetium Tc 99m succimer
  • nebivolol/valsartan
  • ciprofloxacin/fluocinolone acetonide, otic
  • finafloxacin otic
  • magnesium hydroxide/mineral oil
  • phenylephrine/mineral oil/petrolatum rectal
  • carbamide peroxide oral
  • atropine ophthalmic
  • sodium sulfacetamide/sulfur
  • sulfacetamide ophthalmic
  • lucinactant
  • benzonatate
  • besifloxacin ophthalmic
  • benzhydrocodone/acetaminophen
  • beractant
  • trimagnesium citrate anhydrous
  • vitamin b2
  • carbamide peroxide otic
  • mineral oil topical
  • ethyl alcohol intranasal
  • boric acid/alcohol otic
  • absorbable gelatin compressed sponge, USP
  • absorbable gelatin sponge, USP
  • vincristine liposomal
  • technetium Tc 99m albumin aggregated injection
  • metaproterenol
  • budesonide inhaled/formoterol/glycopyrrolate inhaled
  • epinephrine racemic
  • umeclidinium bromide/vilanterol inhaled
  • indacaterol, inhaled/glycopyrrolate inhaled
  • betaine  
  • laronidase 
  • estrogens esterified/methyltestosterone            
  • cerliponase alfa
  • ertugliflozin/sitagliptin
  • hawthorn
  • shepherd’s purse
  • thiamine
  • naphazoline/glycerin ophthalmic
  • oxymetazoline ophthalmic
  • dorzolamide
  • dexamethasone intraocular
  • dexamethasone/ciprofloxacin
  • dexamethasone ophthalmic
  • metipranolol ophthalmic
  • timolol ophthalmic
  • boron
  • fezolinetant
  • pegunigalsidase alfa-iwxj
  • biotin
  • pantothenic acid
  • silicon
  • sodium acid phosphate
  • hypochlorous acid topical
  • methenamine/sodium acid phosphate
  • aviptadil 
  • bremelanotide
  • glucagon intranasal
  • metformin and repaglinide
  • bai ji
  • pau d’arco
  • juzentaihoto
  • mistletoe
  • quercetin
  • rosemary
  • sheng di huang
  • chasteberry
  • maitake
  • grapefruit
  • lentinan
  • juniper
  • nettle
  • parsley
  • rose hips
  • tongkat ali
  • horny goat weed
  • damiana
  • yohimbe
  • insulin NPH
  • aprocitentan
  • noni Juice
  • sodium iodide I-131
  • green tea
  • sea cucumber
  • wheat germ extract
  • fenofibrate micronized 
  • rogisen
  • danshen
  • lutein
  • witch hazel
  • dextroamphetamine transdermal
  • amphetamine/dextroamphetamine
  • hoodia
  • kolanut
  • boswellia
  • opuntia ficus indica
  • lavender
  • nadh
  • tea tree oil
  • metformin/sitagliptin 
  • dapagliflozin/ metformin/saxagliptin  
  • antihemophilic factor recombinant
  • inclisiran
  • bempedoic acid/ezetimibe
  • volanesorsen  
  • omega 3 carboxylic acids
  • pericyazine
  • levomepromazine (methotrimeprazine)
  • betaxolol ophthalmic
  • respiratory syncytial virus vaccine, adjuvanted
  • phenylephrine hydrochloride and tropicamide ophthalmic
  • alirocumab
  • neomycin/polymyxin B/gramicidin ophthalmic
  • factor IX
  • gentamicin topical
  • ansofaxine (Pending FDA Approval)
  • zuranolone
  • factor IX, recombinant
  • factor IX complex
  • factor XIII A-subunit, recombinant
  • factor X, human
  • mesalamine rectal
  • etrasimod
  • anti-inhibitor coagulant complex
  • factor IX, recombinant/albumin fusion protein
  • fibrinogen, human
  • aminocaproic acid
  • metyrosine
  • nonoxynol-9 vaginal
  • progesterone intravaginal gel
  • ipecac syrup
  • botulinum antitoxin, heptavalent
  • pentetate calcium trisodium
  • crotalidae polyvalent immune FAB (ovine)
  • dehydrated alcohol injection 
  • gold sodium thiomalate (Discontinued)
  • lactic acid/citric acid/potassium bitartrate vaginal
  • von Willebrand factor, recombinant
  • luspatercept
  • digoxin immune FAB (Antidote)
  • crotalidae immune FAB (equine)
  • magnesium (Antidote)
  • pyridoxine (Antidote)
  • edetate calcium disodium
  • albumin IV
  • nitroglycerin sublingual
  • obiltoxaximab
  • anthrax immune globulin
  • nitroglycerin topical
  • dextrose
  • nesiritide
  • estradiol vaginal
  • bazedoxifene/conjugated estrogens
  • botulism immune globulin iv
  • amoxicillin/omeprazole/rifabutin
  • synthetic human angiotensin II
  • nitroglycerin IV
  • nitroglycerin translingual
  • nitroprusside sodium
  • tetrahydrozoline/zinc sulfate/hypromellose ophthalmic
  • sodium citrate/citric acid
  • pemetrexate
  • Methicillin
  • plasminogen 
  • acai
  • american ginseng
  • cordyceps
  • tramadol/acetaminophen
  • belladonna alkaloids/phenobarbital
  • erythromycin topical/benzoyl peroxide
  • glucosamine sulfate
  • panax ginseng (suppl/herb)
  • tolnaftate
  • sulopenem etzadroxil/probenecid
  • sulfur hexafluoride
  • sotrovimab
  • arbaclofen
  • rifampin/isoniazid
  • clindamycin /tretinoin topical
  • benzoyl peroxide/clindamycin topical
  • apremilast
  • antivenins, centuroides (scorpion)
  • bamlanivimab and etesevimab
  • vilobelimab
  • gadobenate
  • pentosan polysulfate sodium
  • methylsalicylate/menthol/camphor topical
  • antivenin, black widow spider
  • benzoyl peroxide and hydrocortisone
  • clindamycin topical
  • isometheptene, dichloralphenazone and acetaminophen
  • acetaminophen and phenyltoloxamine
  • erythromycin topical
  • erythromycin ophthalmic
  • alpha hydroxy acids, topical
  • buprenorphine transdermal
  • butalbital/acetaminophen/caffeine
  • buprenorphine/samidorphan
  • buprenorphine subdermal implant
  • celecoxib/tramadol
  • drospirenone/ethinyl estradiol
  • resorcinol/sulfur
  • eflornithine
  • rifampin/isoniazid/pyrazinamide
  • tofersen
  • devil’s claw
  • ticarcillin/clavulanate
  • atropine/pralidoxime
  • aprepitant
  • suramin
  • phenelzine 
  • artichoke
  • american dogwood
  • attapulgite
  • atlantic cedar
  • axalimogene filolisbac
  • sodium thiosulfate & sodium nitrite
  • ataluren
  • omidubicel-onlv
  • capsicum
  • ginger
  • cryoprecipitate
  • bictegravir/emtricitabine/tenofovir DF
  • emtricitabine/tenofovir DF
  • fo-ti
  • siberian ginseng
  • granulocytes
  • zinc substituted heme C
  • zinc trihydroxide
  • ashwagandha 
  • cat’s claw
  • glandular products
  • SAMe
  • shark cartilage
  • altovis
  • feverfew
  • horse chestnut
  • magnesium aspartate
  • octacosanol
  • pleurisy root
  • star anise
  • butterbur
  • elderberry
  • licorice (Suppl/herb)
  • aconite
  • pentetate zinc trisodium
  • menthol topical/zinc oxide topical
  • corn-starch/kaolin/zinc oxide topical
  • 5-hydroxytryptophan (5-htp)
  • butcher’s broom
  • articulin
  • bearberry
  • goldenrod
  • progesterone, natural
  • black cohosh
  • wild yam
  • cranberry
  • dong quai
  • phytoestrogens
  • norethindrone
  • false Unicorn Root
  • raspberry Leaf
  • asafoetida
  • turmeric
  • dehydroepiandrosterone (DHEA)
  • hyaluronan
  • aliskiren/amlodipine
  • octreotide (Antidote)
  • tranexamic acid injection
  • duocal
  • neocate infant formula
  • pediatric Eo28
  • aloe
  • red clover
  • propolis
  • androstenedione
  • heartsease
  • comfrey
  • bilberry
  • chamomile
  • eyebright
  • calendula
  • sage
  • yucca
  • polypody
  • odevixibat
  • vinpocetine
  • olanzapine/samidorphan
  • creatine
  • yerba mate
  • spesolimab
  • azficel-T
  • tiludronate
  • estetrol and drospirenone
  • pseudoephedrine/fexofenadine
  • lincomycin
  • neomycin oral
  • fluocinolone acetonide, otic
  • tretinoin/ hydroquinone/ fluocinolone
  • halobetasol topical
  • hydrocortisone/​iodoquinol
  • penicillin G procaine /penicillin G benzathine
  • hydrocortisone probutate topical
  • colistin/neomycin/hydrocortisone/thonzonium otic
  • ebola zaire vaccine
  • hepatitis a/​b vaccine
  • vibegron
  • lindane
  • nystatin topical
  • respiratory syncytial virus (RSV) vaccine
  • chikungunya vaccine, live
  • tenecteplase
  • reteplase
  • anthrax vaccine adsorbed, adjuvanted
  • meningococcal ABCWY pentavalent vaccine
  • eculizumab
  • cholestyramine
  • tinzaparin
  • taurolidine/​citrate/​heparin
  • protein C concentrate
  • antithrombin alfa
  • antithrombin III
  • multivitamins, vision
  • ibuprofen/​chlorpheniramine/​pseudoephedrine
  • acetaminophen/ibuprofen
  • ibuprofen/pseudoephedrine
  • paclitaxel protein-bound
  • acetic acid vaginal
  • acetic acid otic
  • hydrocodone/ ibuprofen
  • methyl salicylate / isopropanol/ citronellyl acetate/ citric acid
  • ibuprofen and phenylephrine
  • acetylcysteine (Antidote)
  • iron/​folic acid/​vitamin/​mineral
  • iobenguane I-131
  • dolutegravir/rilpivirine
  • chlorhexidine topical
  • chlorhexidine oral
  • thyroid desiccated
  • proparacaine ophthalmic
  • podophyllum resin
  • phendimetrazine
  • phenoxybenzamine
  • polidocanol
  • phentermine and topiramate
  • piflufolastat F18
  • piperacillin/tazobactam
  • prednisolone and gentamicin ophthalmic
  • promethazine and codeine
  • poractant alfa
  • protamine sulfate
  • aflibercept intravitreal
  • prednicarbate
  • promethazine/dextromethorphan
  • codeine, phenylephrine, and promethazine
  • potassium phosphate
  • glatiramer acetate
  • gentamicin (Ophthalmic)
  • leniolisib
  • rezafungin
  • fluorometholone
  • dalfampridine
  • hydrocortisone topical 
  • empagliflozin and linagliptin
  • triamcinolone topical
  • minocycline topical
  • minocycline dental
  • ketotifen ophthalmic
  • darunavir and cobicistat
  • lidocaine topical
  • neomycin/polymyxin B/bacitracin/lidocaine (OTC)
  • lidocaine/ hydrocortisone
  • lidocaine anesthetic
  • lidocaine ophthalmic
  • lidocaine/tetracaine
  • desonide
  • dabigatran
  • fexofenadine
  • fluoride
  • decitabine and cedazuridine
  • dasiglucagon
  • hydroxypropyl cellulose ophthalmic
  • epoetin alfa
  • ibritumomab tiuxetan
  • trimethobenzamide
  • dexamethasone/ tobramycin
  • tafasitamab
  • valacyclovir
  • mebendazole
  • levoleucovorin
  • flaxseed
  • germanium
  • glutathione
  • lycopene
  • pygeum
  • horseradish
  • ziv-aflibercept
  • micafungin
  • trofinetide
  • taliglucerase alfa
  • tildrakizumab
  • sulopenem (Pending FDA Approval)
  • thyrotropin alfa
  • birch
  • thrombin, topical
  • tivozanib
  • tafluprost
  • methohexital
  • urea and hydrocortisone
  • unoprostone ophthalmic
  • trihexyphenidyl
  • ezetimibe
  • evolocumab
  • trifluridine and tipiracil
  • methenamine
  • misoprostol
  • miltefosine
  • rimantadine
  • maralixibat
  • coenzyme Q10
  • chlorella
  • garlic
  • forskolin
  • zavegepant
  • menotropins
  • margetuximab
  • meprobamate
  • melarsoprol
  • evening primrose oil
  • lemongrass
  • molindone
  • fenugreek
  • phytosterols
  • red yeast rice
  • uridine triacetate
  • tropicamide
  • incobotulinumtoxinA
  • Grape Seed Extract
  • carbachol ophthalmic
  • cosyntropin
  • cyclopentolate and phenylephrine
  • carteolol ophthalmic
  • pentazocine/naloxone
  • pentazocine/acetaminophen
  • casimersen
  • carisoprodol, aspirin, and codeine
  • carisoprodol
  • carboprost tromethamine
  • flurandrenolide
flunitrazepam + 

diphenoxylate/atropine

may have an increased CNS depressant effect when combined with flunitrazepam

phenobarbital

may have an increased CNS depressant effect when combined with flunitrazepam

clorazepic acid

may have an increased CNS depressant effect when combined with flunitrazepam

isoflurane

may have an increased CNS depressant effect when combined with flunitrazepam

promazine

may have an increased CNS depressant effect when combined with flunitrazepam

apomorphine

CNS depressants may have an increased CNS depressive effect when combined with flunitrazepam

flurazepam

CNS depressants may have an increased CNS depressive effect when combined with flunitrazepam

perphenazine

CNS depressants may have an increased CNS depressive effect when combined with flunitrazepam

diazepam

may have an increased CNS depressant effect when combined with flunitrazepam

methadone

may have an increased CNS depressant effect when combined with flunitrazepam

secobarbital

may have an increased CNS depressant effect when combined with flunitrazepam

estazolam

flunitrazepam: they may increase the CNS depressant effect of CNS Depressants

oxazepam

flunitrazepam: they may increase the CNS depressant effect of CNS Depressants

tiagabine

flunitrazepam: they may increase the CNS depressant effect of CNS Depressants

acetazolamide 

may have an increased effect of CNS depression when combined with Acetazolamide

acetophenazine 

may have an increased effect of CNS depression when combined with Acetophenazine

agomelatine 

may have an increased effect of CNS depression when combined with Agomelatine

alfentanil 

may have an increasingly adverse effects when combined with Alfentanil

alimemazine 

may have an increased effect of CNS depression when combined with Alimemazine

almotriptan 

may have an increased effect of CNS depression when combined with Almotriptan

alosetron 

may have an increased effect of CNS depression when combined with Alosetron

amobarbital 

may have an increased effect of CNS depression when combined with Amobarbital

protriptyline

may enhance the risk of CNS depression when combined with each other

levorphanol 

may increase the CNS depressant effect

risperidone 

may increase the CNS depressant effect of CNS depressants

tapentadol 

may increase the CNS depressant effects of CNS depressants

nortriptyline 

may increase the CNS depressants effects of CNS depressants

acrivastine and pseudoephedrine 

may increase the CNS depressant effect of CNS depressants

brimonidine and timolol 

may increase the CNS depressant effect of CNS depressants

buprenorphine and naloxone 

may increase the CNS depressant effect of CNS depressants

flibanserin 

may increase the CNS depressant effect of CNS depressants

carbinoxamine 

may increase the CNS depressant effect of CNS depressants

molindone 

may increase the CNS depressant effect of CNS depressants

meprobamate 

may increase the CNS depressant effect of CNS depressants

methohexital 

may increase the CNS depressant effect of CNS depressants

tizanidine 

may increase the CNS depressant effect of CNS depressants

fexofenadine 

may increase the CNS depressant effect of CNS depressants

promethazine/dextromethorphan 

may increase the CNS depressant effect of CNS Depressants

sevoflurane 

may increase the CNS depressant effect of CNS Depressants

aripiprazole 

may increase the CNS depressant effect of CNS Depressants

suvorexant 

may increase the CNS depressant effect of CNS Depressants

buprenorphine buccal 

may increase the CNS depressant effect of CNS Depressants

buprenorphine,long-acting injection 

may increase the CNS depressant effect of CNS Depressants

chlorzoxazone 

may increase the CNS depressant effect of CNS Depressants

alprazolam 

may have an increased effect of CNS depression when combined with Alprazolam

amisulpride 

may have an increased effect of CNS depression when combined with Amisulpride

amitriptyline 

may have an increased effect of CNS depression when combined with Amitriptyline

amoxapine 

may have an increased effect of CNS depression when combined with Amoxapine

thiothixene 

may increase the CNS depressant effect of CNS depressants

apomorphine 

may have an increased effect of CNS depression when combined with Apomorphine

aripiprazole 

may have an increased effect of orthostatic hypotension when combined with Aripiprazole

aripiprazole lauroxil 

may have an increased effect of CNS depression when combined with Aripiprazole lauroxil

articaine 

may have an increased effect of CNS depression when combined with Articaine

asenapine 

may have an increased effect of CNS depression when combined with Asenapine

atracurium 

may have an increased effect of CNS depression when combined with Atracurium besylate

pipecuronium 

The potential for increased CNS depression risk or seriousness occurs when flunitrazepam is used together with pipecuronium

curcumin

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

abiraterone

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

mibefradil

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

diacerein

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

tranylcypromine

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

5-htp

may enhance the risk of CNS depression when combined with each other

perampanel

CNS depressants increase the effect of flunitrazepam

 

Dosage Forms & Strengths 

Tablet, film coated 

Oral: 1 mg 

Insomnia 

(off-label):

1 to 2 mg given orally before the bedtime



 

Safety and efficacy were not established 

 

Refer to the adult dosing regimen 

Frequency not defined 

Sedation 

Headache 

Visual disturbances 

insomnia 

Dizziness 

nausea 

vomiting 

depression 

Amnesia 

Black Box Warning: 

flunitrazepam carries a black box warning due to its high potential for abuse, addiction, and adverse effects. It can cause severe respiratory depression, especially when combined with alcohol.

Additionally, abrupts the discontinuation may lead to withdrawal symptoms, making it crucial to use this medication under strict medical supervision and for short durations. 

Contraindication/Caution: 

Contraindication: 

  • Hypersensitivity: Individuals with a known hypersensitivity or allergy to flunitrazepam or any benzodiazepine medications should avoid its use. 
  • Respiratory Depression: flunitrazepam is contraindicated in patients with respiratory depression, as it can further suppress the respiratory drive. 
  • Severe Respiratory Insufficiency: Patients with severe respiratory insufficiency, including sleep apnea, should not use flunitrazepam, as it may worsen breathing problems. 
  • Myasthenia Gravis: Flunitrazepam should be avoided in individuals with myasthenia gravis, as it can exacerbate muscle weakness. 
  • Acute Narrow-Angle Glaucoma: Patients with acute narrow-angle glaucoma should not take flunitrazepam due to the risk of increasing intraocular pressure. 
  • Alcohol or Substance Abuse: flunitrazepam should not be used in patients with a history of alcohol or substance abuse, as it can increase the risk of dependence and addiction.

Caution: 

  • Elderly Patients: Use caution when prescribing flunitrazepam to elderly patients, as they may be more sensitive to its sedative effects and at an increased risk of falls and cognitive impairment. 
  • Depression: flunitrazepam should be used with caution in depression or suicidal tendencies, as it can potentially exacerbate these conditions. 
  • Respiratory Impairment: Patients with respiratory impairment, such as chronic obstructive pulmonary disease (COPD), should use flunitrazepam cautiously due to an increased risk of respiratory depression. 
  • Renal Impairment: Dosage adjustments are necessary in renal impairment, as flunitrazepam’s elimination may be prolonged. 
  • Hepatic Impairment: Caution is used in patients with mild to moderate hepatic impairment, as flunitrazepam’s metabolism may be impaired, leading to increased drug levels. 
  • Substance Use Disorders: Patients with a history of alcohol or substance abuse should be closely monitored when prescribed flunitrazepam, as it can potentially lead to abuse or dependence. 
  • Pregnancy and Lactation: flunitrazepam should not be used during pregnancy and lactation unless necessary, and only under strict medical supervision due to potential harm to the fetus or newborn.

Comorbidities: 

  • Sleep Apnea: flunitrazepam can worsen sleep apnea leading to potential respiratory complications. 
  • Respiratory Diseases: the respiratory diseases, such as COPD or asthma, should use flunitrazepam cautiously, as it may lead to respiratory depression and compromise lung function. 
  • Depression and Anxiety Disorders: flunitrazepam should be used with caution in pre-existing depression or anxiety disorders, as it may worsen these conditions. 
  • Substance Use Disorders: Individuals with alcohol or substance abuse have an increased risk of developing dependence or misuse when using flunitrazepam. 
  • Elderly Population: Elderly individuals may be more sensitive to the sedative effects of flunitrazepam, leading to an increased risk of cognitive impairment. 
  • Seizure Disorders: flunitrazepam may lower the seizure threshold in patients with seizure disorders, potentially increasing the risk of seizures. 
  • Cardiovascular Diseases: flunitrazepam may cause changes in heart rate and blood pressure, requiring caution in patients with cardiovascular conditions. 

Pregnancy consideration: pregnancy category: not assigned 

Lactation: excreted into human milk: yes  

Pregnancy category: 

  • Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester. 
  • <b>Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 
  • Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.   
  • Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits. 
  • Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women. 
  • Category N: There is no data available for the drug under this category. 

Pharmacology: 

flunitrazepam is a benzodiazepine with sedative, hypnotic, anxiolytic, muscle relaxant, and anticonvulsant properties. It acts on the central nervous system by enhancing the inhibitory effects of GABA, an inhibitory neurotransmitter, leading to increased GABA-mediated synaptic inhibition.

This results in the suppression of neuronal activity, leading to sedation and relaxation. flunitrazepam’s pharmacological effects make it effective in treating insomnia and anxiety disorders. However, it also carries the potential for misuse, dependence, and tolerance development, necessitating caution and limited use for short-term treatment.  

Pharmacodynamics: 

  • Sedative and Hypnotic Effects: flunitrazepam produces sedation and hypnotic effects by increasing the activity of GABAergic neurons, which inhibit the firing of other neurons, calming the brain and promoting sleep. 
  • Anxiolytic Effects: flunitrazepam reduces anxiety by inhibiting certain brain areas responsible for the generation of anxiety and fear responses. It increases the release of GABA, which dampens the activity of these brain regions. 
  • Muscle Relaxant Effects: flunitrazepam exerts muscle relaxant properties by enhancing GABAergic inhibition in the spinal cord, reducing muscle tone and spasms. 
  • Anticonvulsant Effects: flunitrazepam suppresses excessive neuronal firing in the brain, making it useful in treating certain types of epileptic seizures. 
  • Respiratory Depression: Like other benzodiazepines, flunitrazepam can cause respiratory depression when used in combination with other CNS depressants like alcohol or opioids. 
  • Cognitive and Motor Impairment: flunitrazepam can cause impaired cognitive function, memory deficits, and motor coordination impairment, making it important to avoid activities requiring mental alertness while using the medication.

Pharmacokinetics: 

Absorption 

flunitrazepam is administered orally as a tablet or intravenously. It is rapidly and well absorbed from the GIT after oral administration, with peak plasma concentrations reached within 1 to 2 hours. 

Distribution 

flunitrazepam is highly lipophilic, allowing it to readily crosses blood-brain barrier and distribute throughout the body’s tissues. 

Metabolism 

flunitrazepam undergoes extensive hepatic metabolism in the liver. It is primarily metabolized by cytochrome P450 enzyme system, with CYP3A4 and CYP2C19 being the main enzymes involved. 

Elimination and excretion 

The elimination half-life of flunitrazepam is around 18 to 26 hours in healthy individuals. It undergoes hepatic metabolism and is excreted in the urine as metabolites. Only a small percentage of the drug is excreted unchanged in the urine. 

Administration: 

  • Dosage: The dosage of flunitrazepam will be determined by the prescribing healthcare provider based on the patient’s age, weight, medical condition, and response to the treatment. The usual starting dose for adults is 1-2 mg, taken orally at bedtime. 
  • Administration: flunitrazepam is typically administered orally as a tablet or capsule. It should be taken with a full glass of water and swallowed whole. Crushing or chewing the tablet should be avoided. 
  • Timing: flunitrazepam is usually taken at bedtime due to its sedative effects. It is essential to follow dosing schedule and not to take more than the recommended dose. 
  • Duration: flunitrazepam is intended for short-term use to manage specific sleep disorders or anxiety-related conditions. Prolonged use should be avoided to prevent the development of tolerance and dependence. 

Patient information leaflet 

Generic Name: flunitrazepam 

Pronounced: floo-ni-TRAZ-e-pam  

Why do we use flunitrazepam? 

flunitrazepam is a benzodiazepine medication primarily used for its sedative-hypnotic properties. 

  • Insomnia: flunitrazepam is used to treat severe cases of insomnia when other treatments have been ineffective. It helps to induce sleep and improves sleep quality. 
  • Pre-Anesthesia: In some cases, flunitrazepam may be administered before surgery or medical procedures to relax the patient and reduce anxiety. 
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flunitrazepam

Brand Name :

Disomnilan, Flunepan, Flunita, Flunitrazepam CF

Synonyms :

flunitrazepam

Class :

Benzodiazepine derivative, Hypnotic agent

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No data available for drug.

Dosage Forms & Strengths 

Tablet, film coated 

Oral: 1 mg 

Insomnia 

(off-label):

1 to 2 mg given orally before the bedtime



Safety and efficacy were not established 

Refer to the adult dosing regimen 

DRUG INTERACTION

flunitrazepam

&

flunitrazepam + 

diphenoxylate/atropine

may have an increased CNS depressant effect when combined with flunitrazepam

phenobarbital

may have an increased CNS depressant effect when combined with flunitrazepam

clorazepic acid

may have an increased CNS depressant effect when combined with flunitrazepam

isoflurane

may have an increased CNS depressant effect when combined with flunitrazepam

promazine

may have an increased CNS depressant effect when combined with flunitrazepam

apomorphine

CNS depressants may have an increased CNS depressive effect when combined with flunitrazepam

flurazepam

CNS depressants may have an increased CNS depressive effect when combined with flunitrazepam

perphenazine

CNS depressants may have an increased CNS depressive effect when combined with flunitrazepam

diazepam

may have an increased CNS depressant effect when combined with flunitrazepam

methadone

may have an increased CNS depressant effect when combined with flunitrazepam

secobarbital

may have an increased CNS depressant effect when combined with flunitrazepam

estazolam

flunitrazepam: they may increase the CNS depressant effect of CNS Depressants

oxazepam

flunitrazepam: they may increase the CNS depressant effect of CNS Depressants

tiagabine

flunitrazepam: they may increase the CNS depressant effect of CNS Depressants

acetazolamide 

may have an increased effect of CNS depression when combined with Acetazolamide

acetophenazine 

may have an increased effect of CNS depression when combined with Acetophenazine

agomelatine 

may have an increased effect of CNS depression when combined with Agomelatine

alfentanil 

may have an increasingly adverse effects when combined with Alfentanil

alimemazine 

may have an increased effect of CNS depression when combined with Alimemazine

almotriptan 

may have an increased effect of CNS depression when combined with Almotriptan

alosetron 

may have an increased effect of CNS depression when combined with Alosetron

amobarbital 

may have an increased effect of CNS depression when combined with Amobarbital

protriptyline

may enhance the risk of CNS depression when combined with each other

levorphanol 

may increase the CNS depressant effect

risperidone 

may increase the CNS depressant effect of CNS depressants

tapentadol 

may increase the CNS depressant effects of CNS depressants

nortriptyline 

may increase the CNS depressants effects of CNS depressants

acrivastine and pseudoephedrine 

may increase the CNS depressant effect of CNS depressants

brimonidine and timolol 

may increase the CNS depressant effect of CNS depressants

buprenorphine and naloxone 

may increase the CNS depressant effect of CNS depressants

flibanserin 

may increase the CNS depressant effect of CNS depressants

carbinoxamine 

may increase the CNS depressant effect of CNS depressants

molindone 

may increase the CNS depressant effect of CNS depressants

meprobamate 

may increase the CNS depressant effect of CNS depressants

methohexital 

may increase the CNS depressant effect of CNS depressants

tizanidine 

may increase the CNS depressant effect of CNS depressants

fexofenadine 

may increase the CNS depressant effect of CNS depressants

promethazine/dextromethorphan 

may increase the CNS depressant effect of CNS Depressants

sevoflurane 

may increase the CNS depressant effect of CNS Depressants

aripiprazole 

may increase the CNS depressant effect of CNS Depressants

suvorexant 

may increase the CNS depressant effect of CNS Depressants

buprenorphine buccal 

may increase the CNS depressant effect of CNS Depressants

buprenorphine,long-acting injection 

may increase the CNS depressant effect of CNS Depressants

chlorzoxazone 

may increase the CNS depressant effect of CNS Depressants

alprazolam 

may have an increased effect of CNS depression when combined with Alprazolam

amisulpride 

may have an increased effect of CNS depression when combined with Amisulpride

amitriptyline 

may have an increased effect of CNS depression when combined with Amitriptyline

amoxapine 

may have an increased effect of CNS depression when combined with Amoxapine

thiothixene 

may increase the CNS depressant effect of CNS depressants

apomorphine 

may have an increased effect of CNS depression when combined with Apomorphine

aripiprazole 

may have an increased effect of orthostatic hypotension when combined with Aripiprazole

aripiprazole lauroxil 

may have an increased effect of CNS depression when combined with Aripiprazole lauroxil

articaine 

may have an increased effect of CNS depression when combined with Articaine

asenapine 

may have an increased effect of CNS depression when combined with Asenapine

atracurium 

may have an increased effect of CNS depression when combined with Atracurium besylate

pipecuronium 

The potential for increased CNS depression risk or seriousness occurs when flunitrazepam is used together with pipecuronium

curcumin

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

abiraterone

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

mibefradil

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

diacerein

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

tranylcypromine

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

5-htp

may enhance the risk of CNS depression when combined with each other

perampanel

CNS depressants increase the effect of flunitrazepam

Actions and spectrum: 

flunitrazepam is a benzodiazepine medication with sedative, hypnotic, anxiolytic, muscle relaxant, and anticonvulsant properties. It acts on the central nervous system by enhancing the inhibitory effects of GABA, a neurotransmitter that reduces brain activity and induces relaxation. As a result of these actions, flunitrazepam produces calming and sleep-inducing effects. 

The spectrum of flunitrazepam’s effects includes: 

  • Sedation: Flunitrazepam causes sedation and drowsiness, making it useful for the treatment of insomnia or sleep disturbances. 
  • Hypnotic: Due to its potent sedative properties, flunitrazepam is often used as a short-term hypnotic to induce and maintain sleep. 
  • Anxiolytic: flunitrazepam reduces anxiety and promotes a sense of calmness in individuals with anxiety disorders. 
  • Muscle Relaxant: It possesses muscle relaxant effects, which can help alleviate muscle tension or spasms. 
  • Anticonvulsant: flunitrazepam can be effective in managing certain seizure disorders by reducing the frequency and intensity of epileptic seizures. 

Frequency not defined 

Sedation 

Headache 

Visual disturbances 

insomnia 

Dizziness 

nausea 

vomiting 

depression 

Amnesia 

Black Box Warning: 

flunitrazepam carries a black box warning due to its high potential for abuse, addiction, and adverse effects. It can cause severe respiratory depression, especially when combined with alcohol.

Additionally, abrupts the discontinuation may lead to withdrawal symptoms, making it crucial to use this medication under strict medical supervision and for short durations. 

Contraindication/Caution: 

Contraindication: 

  • Hypersensitivity: Individuals with a known hypersensitivity or allergy to flunitrazepam or any benzodiazepine medications should avoid its use. 
  • Respiratory Depression: flunitrazepam is contraindicated in patients with respiratory depression, as it can further suppress the respiratory drive. 
  • Severe Respiratory Insufficiency: Patients with severe respiratory insufficiency, including sleep apnea, should not use flunitrazepam, as it may worsen breathing problems. 
  • Myasthenia Gravis: Flunitrazepam should be avoided in individuals with myasthenia gravis, as it can exacerbate muscle weakness. 
  • Acute Narrow-Angle Glaucoma: Patients with acute narrow-angle glaucoma should not take flunitrazepam due to the risk of increasing intraocular pressure. 
  • Alcohol or Substance Abuse: flunitrazepam should not be used in patients with a history of alcohol or substance abuse, as it can increase the risk of dependence and addiction.

Caution: 

  • Elderly Patients: Use caution when prescribing flunitrazepam to elderly patients, as they may be more sensitive to its sedative effects and at an increased risk of falls and cognitive impairment. 
  • Depression: flunitrazepam should be used with caution in depression or suicidal tendencies, as it can potentially exacerbate these conditions. 
  • Respiratory Impairment: Patients with respiratory impairment, such as chronic obstructive pulmonary disease (COPD), should use flunitrazepam cautiously due to an increased risk of respiratory depression. 
  • Renal Impairment: Dosage adjustments are necessary in renal impairment, as flunitrazepam’s elimination may be prolonged. 
  • Hepatic Impairment: Caution is used in patients with mild to moderate hepatic impairment, as flunitrazepam’s metabolism may be impaired, leading to increased drug levels. 
  • Substance Use Disorders: Patients with a history of alcohol or substance abuse should be closely monitored when prescribed flunitrazepam, as it can potentially lead to abuse or dependence. 
  • Pregnancy and Lactation: flunitrazepam should not be used during pregnancy and lactation unless necessary, and only under strict medical supervision due to potential harm to the fetus or newborn.

Comorbidities: 

  • Sleep Apnea: flunitrazepam can worsen sleep apnea leading to potential respiratory complications. 
  • Respiratory Diseases: the respiratory diseases, such as COPD or asthma, should use flunitrazepam cautiously, as it may lead to respiratory depression and compromise lung function. 
  • Depression and Anxiety Disorders: flunitrazepam should be used with caution in pre-existing depression or anxiety disorders, as it may worsen these conditions. 
  • Substance Use Disorders: Individuals with alcohol or substance abuse have an increased risk of developing dependence or misuse when using flunitrazepam. 
  • Elderly Population: Elderly individuals may be more sensitive to the sedative effects of flunitrazepam, leading to an increased risk of cognitive impairment. 
  • Seizure Disorders: flunitrazepam may lower the seizure threshold in patients with seizure disorders, potentially increasing the risk of seizures. 
  • Cardiovascular Diseases: flunitrazepam may cause changes in heart rate and blood pressure, requiring caution in patients with cardiovascular conditions. 

Pregnancy consideration: pregnancy category: not assigned 

Lactation: excreted into human milk: yes  

Pregnancy category: 

  • Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester. 
  • <b>Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 
  • Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.   
  • Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits. 
  • Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women. 
  • Category N: There is no data available for the drug under this category. 

Pharmacology: 

flunitrazepam is a benzodiazepine with sedative, hypnotic, anxiolytic, muscle relaxant, and anticonvulsant properties. It acts on the central nervous system by enhancing the inhibitory effects of GABA, an inhibitory neurotransmitter, leading to increased GABA-mediated synaptic inhibition.

This results in the suppression of neuronal activity, leading to sedation and relaxation. flunitrazepam’s pharmacological effects make it effective in treating insomnia and anxiety disorders. However, it also carries the potential for misuse, dependence, and tolerance development, necessitating caution and limited use for short-term treatment.  

Pharmacodynamics: 

  • Sedative and Hypnotic Effects: flunitrazepam produces sedation and hypnotic effects by increasing the activity of GABAergic neurons, which inhibit the firing of other neurons, calming the brain and promoting sleep. 
  • Anxiolytic Effects: flunitrazepam reduces anxiety by inhibiting certain brain areas responsible for the generation of anxiety and fear responses. It increases the release of GABA, which dampens the activity of these brain regions. 
  • Muscle Relaxant Effects: flunitrazepam exerts muscle relaxant properties by enhancing GABAergic inhibition in the spinal cord, reducing muscle tone and spasms. 
  • Anticonvulsant Effects: flunitrazepam suppresses excessive neuronal firing in the brain, making it useful in treating certain types of epileptic seizures. 
  • Respiratory Depression: Like other benzodiazepines, flunitrazepam can cause respiratory depression when used in combination with other CNS depressants like alcohol or opioids. 
  • Cognitive and Motor Impairment: flunitrazepam can cause impaired cognitive function, memory deficits, and motor coordination impairment, making it important to avoid activities requiring mental alertness while using the medication.

Pharmacokinetics: 

Absorption 

flunitrazepam is administered orally as a tablet or intravenously. It is rapidly and well absorbed from the GIT after oral administration, with peak plasma concentrations reached within 1 to 2 hours. 

Distribution 

flunitrazepam is highly lipophilic, allowing it to readily crosses blood-brain barrier and distribute throughout the body’s tissues. 

Metabolism 

flunitrazepam undergoes extensive hepatic metabolism in the liver. It is primarily metabolized by cytochrome P450 enzyme system, with CYP3A4 and CYP2C19 being the main enzymes involved. 

Elimination and excretion 

The elimination half-life of flunitrazepam is around 18 to 26 hours in healthy individuals. It undergoes hepatic metabolism and is excreted in the urine as metabolites. Only a small percentage of the drug is excreted unchanged in the urine. 

Administration: 

  • Dosage: The dosage of flunitrazepam will be determined by the prescribing healthcare provider based on the patient’s age, weight, medical condition, and response to the treatment. The usual starting dose for adults is 1-2 mg, taken orally at bedtime. 
  • Administration: flunitrazepam is typically administered orally as a tablet or capsule. It should be taken with a full glass of water and swallowed whole. Crushing or chewing the tablet should be avoided. 
  • Timing: flunitrazepam is usually taken at bedtime due to its sedative effects. It is essential to follow dosing schedule and not to take more than the recommended dose. 
  • Duration: flunitrazepam is intended for short-term use to manage specific sleep disorders or anxiety-related conditions. Prolonged use should be avoided to prevent the development of tolerance and dependence. 

Patient information leaflet 

Generic Name: flunitrazepam 

Pronounced: floo-ni-TRAZ-e-pam  

Why do we use flunitrazepam? 

flunitrazepam is a benzodiazepine medication primarily used for its sedative-hypnotic properties. 

  • Insomnia: flunitrazepam is used to treat severe cases of insomnia when other treatments have been ineffective. It helps to induce sleep and improves sleep quality. 
  • Pre-Anesthesia: In some cases, flunitrazepam may be administered before surgery or medical procedures to relax the patient and reduce anxiety. 

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